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Have flat feet. Recommended surgery. Can I alter my foot wear? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Growth and Development in Children
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1229 Questions
Doctor:How can I help you?
User:actually i had one query... i have flat feet
User:is it ok if i just get the arch fitted on my chappals / shoes
User:or do i need to specially visit any doc
Doctor:Flat feet is a developmental change. It can be rectified by surgery, however just simple measures such as personalised foot wear would solve most of the problem if you have pain.
Doctor:I would suggest you to go on with the foot wear.
Doctor:If you do not find any improvement with it, then
Doctor:you can consider visiting an orthopedician.
User:ok ... also my son who is 5 ys old has flat feet
Doctor:Have you followed what I suggested?
User:shud i take him to an orthopedic
User:i get pain in my knees if i dont were footwear with arch
Doctor:May I know if it is confirmed that you and your son have flat feet.
User:it is confirmed with me that i have flat feet
User:my son.. am not too sure
User:i feel he has flat feet since his foot does not show a well developed arch
Doctor:Flat feet is confirmed basically by looking at the X-ray of feet.
Doctor:The arch development occurs during birth and later as the child starts to walk.
User:then i must say that i have not got x-ray of my feet done
Doctor:You can start using the foot wear for now.
User:but i had severe knee pain a few years back and my family physician advised me the footwear which has helped me
Doctor:I understand your complaints.
Doctor:Flat feet cause mechanical pain due to absence of arch of the feet.
Doctor:As there is a large pad of fat in the adults sole, it is difficult to predict whether or not one has flat feet.
Doctor:As you have pain and foot for flat feet helped, you might be having it.
Doctor:Getting an X-ray will definitely be helpful confirm flat feet.
Doctor:But I cannot comment if your son too has flat feet (the pad of feet can mask the arch in children who are not used to walking much)
Doctor:So I suggest you to go slow with your son.
Doctor:Have you followed what I suggested?
User:ok .. so right now i dont need to take my son to any orthopedic
Doctor:That's right.
Doctor:In simple terms
User:maybe after a few years if his foot still shows no arch i can consult a doctor
Doctor:1. You might be having flat feet, but as you feel better with foot wear
Doctor:you can continue the same.
Doctor:2. Only if the foot wear doesn't help much,
Doctor:then you need to see an orthopedician
Doctor:who can discuss about the need for surgery.
Doctor:3. Regarding your son, it is difficult to predict if he too has similar problems
Doctor:for some time now.
User:my worry is generally during the rains... when it is difficult to get an arch fitted on rain wear
Doctor:If the too has similar pain, then it needs to be addressed.
User:and which is when i find pain in my knees
User:no right now he is a highly active child who has not complained of any such pain
User:in fact for me too i got the pain when i starting with my morning walks for an hour
User:which was when i was abt 28 yrs
User:so till that time i too had no issues on having flat foot
Doctor:I completely understand your symptoms.
Doctor:The complaints of flat foot starts to arise when the pressure on the feet is increased.
Doctor:Other external factors such as increased walking especially barefoot walking, increased weight and so on can lead to worsening of pain.
Doctor:May I know if you also have pain in your feet?
Doctor:Are you there?
Doctor:Are you there?
User:sorry doc
User:i got a call fm my boss
User:my feet do pain
User:esp after a long walk
Doctor:Let me continue.
Doctor:As i mentioned earlier, flat feet causes mechanical pain mainly in the feet; other joint of the leg can be affected gradually.
Doctor:There is a possibility that you might have the feet pain which went unnoticed
Doctor:and knee pain started later.
User:doctor is it not better than to go for surgery to avoid these pains?
User:or is it better to wait and delay it as far as possible
Doctor:Just like your physician advised, these orthoses / personalised foot wear can treat most the symptoms of flat feet
Doctor:but if you are looking for a permanent solution and a long lasting solution
Doctor:then you can consider surgical treatment.
Doctor:Since surgery is mainly to reduce the symptoms of flat feet,
Doctor:I cannot recommend it without experiencing the pain myself, so you are the best judge to
Doctor:decide whether or not you need to consider surgical correction.
Doctor:If the pain is immense, or if you wish to get over this problem
User:ok thank you so much doctor for your time and patience
Doctor:then consult your orthopedician.
User:one more thing .. is this solution of surgical correction permanent
User:or could there be a chance that the arch may fall later?
Doctor:The principle is to correct the position of feet bones
Doctor:to get back the arch of the feet
Doctor:if it is possible.
Doctor:It provides long lasting relief from pain and the chances of recurrence is less.
User:thank you so much
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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